Dr Enitan Adetunji Adesanoye, MD is a medicare enrolled "Emergency Medicine" physician in Colleyville, Texas. His current practice location is
5000 Sh 121, Colleyville, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 836-4003.
Dr Enitan Adetunji Adesanoye is licensed to practice in Texas (license number N0590) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134151624.
Physician's Profile
| Full Name | Dr Enitan Adetunji Adesanoye |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 5000 Sh 121, Colleyville, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1134151624
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709854235
- Enrollment ID: I20051020000094
Medical Identifiers
Medical identifiers for Dr Enitan Adetunji Adesanoye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134151624 | NPI | - | NPPES |
| 00581268 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 19019 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | N0590 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 19019 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | N0590 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Enitan Adetunji Adesanoye allows following entities to bill medicare on his behalf.
| Entity Name | Magee Benevolent Association |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1225157258
PECOS PAC ID: 3678466463
Enrollment ID: O20040205000400 |
|---|
| Entity Name | Madison Hma Physician Management Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1740359249
PECOS PAC ID: 1355444035
Enrollment ID: O20070319000178 |
|---|
| Entity Name | Mississippi Emergency Physician Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827 |
|---|
| Entity Name | App Of Mississippi Ed Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1730687740
PECOS PAC ID: 3971865858
Enrollment ID: O20180313002534 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Enitan Adetunji Adesanoye is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Enitan Adetunji Adesanoye, MD
5000 Sh 121,
Colleyville, TX 76034
Ph: (301) 455-5945 | Dr Enitan Adetunji Adesanoye, MD
5000 Sh 121,
Colleyville, TX 76034
Ph: (817) 836-4003 |
Reviews and Comments